***Before you read, I’m not a doctor & I’m just forwarding from a friend who I trust***
Note: the following is from a doctor he knows. I’m simply sharing in case it helps anyone who has a situation that “might” need some of this detail to help. The crisis we have is unprecedented. Information can be inaccurate. Please take any and all of this with a grain of a salt; at the same time, if it helps, it helps.
“I am an ER MD in New Orleans. Class of 98. Every one of my colleagues have now seen several hundred Covid 19 patients and this is what I think I know.
Clinical course is predictable.
2-11 days after exposure (day 5 on average) flu like symptoms start. Common are fever, headache, dry cough, myalgias(back pain), nausea without vomiting, abdominal discomfort with some diarrhea, loss of smell, anorexia, fatigue.
Day 5 of symptoms- increased SOB, and bilateral viral pneumonia from direct viral damage to lung parenchyma.
Day 10- Cytokine storm leading to acute ARDS and multiorgan failure. You can literally watch it happen in a matter of hours. 81% mild symptoms, 14% severe symptoms requiring hospitalization, 5% critical.
Patient presentation is varied. Patients are coming in hypoxic (even 75%) without dyspnea. I have seen Covid patients present with encephalopathy, renal failure from dehydration, DKA. I have seen the bilateral interstitial pneumonia on the xray of the asymptomatic shoulder dislocation or on the CT’s of the (respiratory) asymptomatic polytrauma patient. Essentially if they are in my ER, they have it. Seen three positive flu swabs in 2 weeks and all three had Covid 19 as well. Somehow this ***** has told all other disease processes to get out of town.
China reported 15% cardiac involvement. I have seen covid 19 patients present with myocarditis, pericarditis, new onset CHF and new onset atrial fibrillation. I still order a troponin, but no cardiologist will treat no matter what the number in a suspected Covid 19 patient. Even our non covid 19 STEMIs at all of our facilities are getting TPA in the ED and rescue PCI at 60 minutes only if TPA fails.
#9: March 13: “I don’t take responsibility at all.”
#8: March 19: “It could have been stopped, could have been stopped pretty easily if we had known, if everybody had known about it… Nobody knew there’d be a pandemic… of this proportion.”
#7: February 26: “The 15 (cases in the US) within a couple of days is going to be down to close to zero.”
#6: March 27: “You can call it a germ. You can call it a flu. You can call it a virus…. I’m not sure anybody even knows what it is.”
#5: March 8: “We have a perfectly coordinated and fine tuned plan at the White House for our attack on CoronaVirus.”
#4: March 6: “Anybody right now, and yesterday, anybody that needs a test gets a test. They’re there. And the tests are beautiful…. the tests are all perfect like the letter was perfect. The transcription was perfect. Right? This was not as perfect as that but pretty good.”
#3: March 13: “When you compare what we’ve done to other areas of the world, it’s pretty incredible.”
OK, some of you are going “stir crazy.” I am. That’s why I’m literally running every day around my neighborhood when normally, I wouldn’t be able to do 2-3 jogs a week. I had to recently stop myself by taking a break so I don’t cough as bad as I have been lately — people probably think I have the virus! 🙂
So, I have 5 Coronavirus Tips for Staying Sane*
* 1 bonus one you’ll want to check out at the end!!
Watch amazing late night hosts & entertainers who are also going stir crazy
British Prime Minister Boris Johnson tests positive
British Prime Minister Boris Johnson has tested positive for the new coronavirus, making him the first elected leader of a major nation to be diagnosed with COVID-19. But he insisted Friday that he is working from home and remains in charge of the U.K.’s response to the outbreak.
Johnson, 55, said he was tested Thursday on the advice of the chief medical officer after showing mild symptoms.
Johnson is the highest-profile political leader to have contracted the virus, which has infected more than 500,000 people around the world.
Prince Charles, the heir to the British throne, has tested positive for the new coronavirus, his office said Wednesday.
The 71-year-old is showing mild symptoms of COVID-19 and is self-isolating at a royal estate in Scotland, his Clarence House office said.
His wife Camilla, 72, has tested negative.
“The Prince of Wales has tested positive for coronavirus,’’ Clarence House said. “He has been displaying mild symptoms but otherwise remains in good health and has been working from home throughout the last few days as usual.’’
Britain’s Press Association, citing a source, said the prince and the duchess remained in good spirits, and that Charles was not bedridden.
The tests were carried out by the National Health Service in Scotland.